Telemedicine Services for the Arctic: A systematic review
Source at http://doi.org/10.2196/medinform.6323 Background: Telemedicine services have been successfully used in areas where there are adequate infrastructures such as reliable power and communication lines. However, despite the increasing number of merchants and seafarers, maritime and Arctic telem...
Published in: | JMIR Medical Informatics |
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Main Authors: | , , |
Format: | Article in Journal/Newspaper |
Language: | English |
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JMIR Publications
2017
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Online Access: | https://hdl.handle.net/10037/11813 https://doi.org/10.2196/medinform.6323 |
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ftunivtroemsoe:oai:munin.uit.no:10037/11813 |
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University of Tromsø: Munin Open Research Archive |
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VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 |
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VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 Woldaregay, Ashenafi Zebene Walderhaug, Ståle Hartvigsen, Gunnar Telemedicine Services for the Arctic: A systematic review |
topic_facet |
VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 |
description |
Source at http://doi.org/10.2196/medinform.6323 Background: Telemedicine services have been successfully used in areas where there are adequate infrastructures such as reliable power and communication lines. However, despite the increasing number of merchants and seafarers, maritime and Arctic telemedicine have had limited success. This might be linked with various factors such as lack of good infrastructure, lack of trained onboard personnel, lack of Arctic-enhanced telemedicine equipment, extreme weather conditions, remoteness, and other geographical challenges. Objective: The purpose of this review was to assess and analyze the current status of telemedicine services in the context of maritime conditions, extreme weather (ie, Arctic weather), and remote accidents and emergencies. Moreover, the paper aimed to identify successfully implemented telemedicine services in the Arctic region and in maritime settings and remote emergency situations and present state of the art systems for these areas. Finally, we identified the status quo of telemedicine services in the context of search and rescue (SAR) scenarios in these extreme conditions. Methods: A rigorous literature search was conducted between September 7 and October 28, 2015, through various online databases. Peer reviewed journals and articles were considered. Relevant articles were first identified by reviewing the title, keywords, and abstract for a preliminary filter with our selection criteria, and then we reviewed full-text articles that seemed relevant. Information from the selected literature was extracted based on some predefined categories, which were defined based on previous research and further elaborated upon via iterative brainstorming. Results: The initial hits were vetted using the title, abstract, and keywords, and we retrieved a total of 471 papers. After removing duplicates from the list, 422 records remained. Then, we did an independent assessment of the articles and screening based on the inclusion and exclusion criteria, which eliminated another 219 papers, leaving 203 relevant papers. After a full-text assessment, 36 articles were left, which were critically analyzed. The inter-rater agreement was measured using Cohen Kappa test, and disagreements were resolved through discussion. Conclusions: Despite the increasing number of fishermen and other seafarers, Arctic and maritime working conditions are mainly characterized by an absence of access to health care facilities. The condition is further aggravated for fishermen and seafarers who are working in the Arctic regions. In spite of the existing barriers and challenges, some telemedicine services have recently been successfully delivered in these areas. These services include teleconsultation (9/37, 24%), teleradiology (8/37, 22%), teledermatology and tele-education (3/37, 8%), telemonitoring and telecardiology (telesonography) (1/37, 3%), and others (10/37, 27%). However, the use of telemedicine in relation to search and rescue (SAR) services is not yet fully exploited. Therefore, we foresee that these implemented and evaluated telemedicine services will serve as underlying models for the successful implementation of future search and rescue (SAR) services. |
format |
Article in Journal/Newspaper |
author |
Woldaregay, Ashenafi Zebene Walderhaug, Ståle Hartvigsen, Gunnar |
author_facet |
Woldaregay, Ashenafi Zebene Walderhaug, Ståle Hartvigsen, Gunnar |
author_sort |
Woldaregay, Ashenafi Zebene |
title |
Telemedicine Services for the Arctic: A systematic review |
title_short |
Telemedicine Services for the Arctic: A systematic review |
title_full |
Telemedicine Services for the Arctic: A systematic review |
title_fullStr |
Telemedicine Services for the Arctic: A systematic review |
title_full_unstemmed |
Telemedicine Services for the Arctic: A systematic review |
title_sort |
telemedicine services for the arctic: a systematic review |
publisher |
JMIR Publications |
publishDate |
2017 |
url |
https://hdl.handle.net/10037/11813 https://doi.org/10.2196/medinform.6323 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic Arctic |
genre_facet |
Arctic Arctic |
op_relation |
JMIR Medical Informatics Woldaregay AZ, Walderhaug S, Hartvigsen G. Telemedicine Services for the Arctic: A systematic review. JMIR Medical Informatics. 2017;5(2) FRIDAID 1480365 doi:10.2196/medinform.6323 2291-9694 https://hdl.handle.net/10037/11813 |
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openAccess |
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https://doi.org/10.2196/medinform.6323 |
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JMIR Medical Informatics |
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5 |
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2 |
container_start_page |
e16 |
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1766296380966436864 |
spelling |
ftunivtroemsoe:oai:munin.uit.no:10037/11813 2023-05-15T14:23:55+02:00 Telemedicine Services for the Arctic: A systematic review Woldaregay, Ashenafi Zebene Walderhaug, Ståle Hartvigsen, Gunnar 2017-06-28 https://hdl.handle.net/10037/11813 https://doi.org/10.2196/medinform.6323 eng eng JMIR Publications JMIR Medical Informatics Woldaregay AZ, Walderhaug S, Hartvigsen G. Telemedicine Services for the Arctic: A systematic review. JMIR Medical Informatics. 2017;5(2) FRIDAID 1480365 doi:10.2196/medinform.6323 2291-9694 https://hdl.handle.net/10037/11813 openAccess VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 Journal article Tidsskriftartikkel Peer reviewed 2017 ftunivtroemsoe https://doi.org/10.2196/medinform.6323 2021-06-25T17:55:29Z Source at http://doi.org/10.2196/medinform.6323 Background: Telemedicine services have been successfully used in areas where there are adequate infrastructures such as reliable power and communication lines. However, despite the increasing number of merchants and seafarers, maritime and Arctic telemedicine have had limited success. This might be linked with various factors such as lack of good infrastructure, lack of trained onboard personnel, lack of Arctic-enhanced telemedicine equipment, extreme weather conditions, remoteness, and other geographical challenges. Objective: The purpose of this review was to assess and analyze the current status of telemedicine services in the context of maritime conditions, extreme weather (ie, Arctic weather), and remote accidents and emergencies. Moreover, the paper aimed to identify successfully implemented telemedicine services in the Arctic region and in maritime settings and remote emergency situations and present state of the art systems for these areas. Finally, we identified the status quo of telemedicine services in the context of search and rescue (SAR) scenarios in these extreme conditions. Methods: A rigorous literature search was conducted between September 7 and October 28, 2015, through various online databases. Peer reviewed journals and articles were considered. Relevant articles were first identified by reviewing the title, keywords, and abstract for a preliminary filter with our selection criteria, and then we reviewed full-text articles that seemed relevant. Information from the selected literature was extracted based on some predefined categories, which were defined based on previous research and further elaborated upon via iterative brainstorming. Results: The initial hits were vetted using the title, abstract, and keywords, and we retrieved a total of 471 papers. After removing duplicates from the list, 422 records remained. Then, we did an independent assessment of the articles and screening based on the inclusion and exclusion criteria, which eliminated another 219 papers, leaving 203 relevant papers. After a full-text assessment, 36 articles were left, which were critically analyzed. The inter-rater agreement was measured using Cohen Kappa test, and disagreements were resolved through discussion. Conclusions: Despite the increasing number of fishermen and other seafarers, Arctic and maritime working conditions are mainly characterized by an absence of access to health care facilities. The condition is further aggravated for fishermen and seafarers who are working in the Arctic regions. In spite of the existing barriers and challenges, some telemedicine services have recently been successfully delivered in these areas. These services include teleconsultation (9/37, 24%), teleradiology (8/37, 22%), teledermatology and tele-education (3/37, 8%), telemonitoring and telecardiology (telesonography) (1/37, 3%), and others (10/37, 27%). However, the use of telemedicine in relation to search and rescue (SAR) services is not yet fully exploited. Therefore, we foresee that these implemented and evaluated telemedicine services will serve as underlying models for the successful implementation of future search and rescue (SAR) services. Article in Journal/Newspaper Arctic Arctic University of Tromsø: Munin Open Research Archive Arctic JMIR Medical Informatics 5 2 e16 |